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1316390396
BRYAN BOLEA
GRAND RAPIDS, MI
NPI
1316390396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MI 6301012696)
Enumeration Date
2016-07-14
Last Update Date
2023-09-25
Business Address
BRYAN BOLEA Ph.D.
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546-3669
Phone number: 616-957-9112
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Mailing Address
BRYAN BOLEA Ph.D.
1000 PARCHMENT DR SE
GRAND RAPIDS, MI 49546-3669
Phone number: 616-957-9112
Copy
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